Provider Demographics
NPI:1952183972
Name:LIFESTYLE MEDICAL MINISTRY
Entity Type:Organization
Organization Name:LIFESTYLE MEDICAL MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-250-5094
Mailing Address - Street 1:7315 LEE HWY STE 167
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1560
Mailing Address - Country:US
Mailing Address - Phone:423-250-5094
Mailing Address - Fax:
Practice Address - Street 1:7315 LEE HWY STE 167
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1560
Practice Address - Country:US
Practice Address - Phone:423-250-5094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty